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Metrics details. This article is a continuation of the Musafir study published in Following the results of this study, we designed an educational website with Urdu-speaking volunteers, using a participatory approach. This approach allowed us to build culturally-appropriate content matching the needs of targeted population.
We report here the lessons learned from our approach. Urdu-speaking volunteers were recruited via outreach strategies, for participation in focus groups.
The focus groups were recorded, with the written consent of the users. Thematic analysis was conducted after transcription of the focus-group discussion. We succeeded in mobilizing 4 Pakistani users, aged between 19 and 30 years. The group dynamics was very rich and allowed us to highlight numerous social aspects related to the importance of the group belonging, the family, and others points of view on these topics. Many Urdu vocabulary had to be redefined and revealed the extent of the pre-existing taboo.
Notwithstanding the extreme difficulty of mobilizing an invisible target population on a sensitive topic such as sexual and mental health, our experience highlights the need to consider the knowledge of the people concerned. The participative approach allowed us to fit the content of our medium to, for instance: the collectivist type of society of the target population; the level of literacy in their mother tongue; and to the embodiment of some taboo in their vocabulary.
Although time and energy consuming, our approach seems relevant and could be replicated to other communities. Peer Review reports. Europe, including France, is witnessing a recent increase of immigrants from Pakistan, represented mainly by young single men, some of whom are affected by HCV and sexually transmitted infections STIs. Various studies [ 2 ] have shown that most documented HCV transmission in Pakistan occurs via health-related procedures re-use of contaminated syringes and therapeutic injections and intra-venous drug use [ 3 ].